Dr Lonnie Mark Draper, MD | |
1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | |
(850) 431-0756 | |
(850) 431-0779 |
Full Name | Dr Lonnie Mark Draper |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 38 Years |
Location | 1300 Miccosukee Rd, Tallahassee, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326012188 | NPI | - | NPPES |
051720800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME59117 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tallahassee Memorial Healthcare Inc | 6103724778 | 339 |
Tmh Emergency Physician Group | 8325317084 | 33 |
Entity Name | Tallahassee Memorial Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437177664 PECOS PAC ID: 6103724778 Enrollment ID: O20031222000279 |
Entity Name | Tallahassee Memorial Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194774968 PECOS PAC ID: 6103724778 Enrollment ID: O20041029000600 |
Entity Name | Tmh Emergency Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417483819 PECOS PAC ID: 8325317084 Enrollment ID: O20170712001068 |
Mailing Address | Practice Location Address |
---|---|
Dr Lonnie Mark Draper, MD 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 Ph: (850) 431-0756 | Dr Lonnie Mark Draper, MD 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 Ph: (850) 431-0756 |
Joel Holcombe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1309 Thomasville Road, Physician Billing Office, Tallahassee, FL 32303 Phone: 850-431-7289 Fax: 850-431-6975 | |
John Christopher Jusino, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Bixler Emergency Center, Tallahassee, FL 32308 Phone: 850-431-0756 Fax: 850-431-0779 | |
Dr. Bansidas M Agravat, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-0756 Fax: 850-431-0779 | |
Matthew C Davis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Centerville Rd Ste 300, Tallahassee, FL 32308 Phone: 508-775-1158 Fax: 850-656-3645 | |
Dr. William David Nimmons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-510-5496 | |
Juvenal Havyarimana, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 850-325-5000 | |
Fitz Blake Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Road, Bixler Emergency Center, Tallahassee, FL 32308 Phone: 850-431-0911 Fax: 850-431-0779 |